Individual provider Active NPI

Carson Meador, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1699345041
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5228 Issued in TN
Practice address
391 Wallace Rd
Nashville, TN 37211-4851
Phone
(615) 781-4000
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 5228 TN Primary

Addresses

Primary practice location

391 Wallace Rd
Nashville, TN 37211-4851

Mailing address

570 Church St E Apt 802
Brentwood, TN 37027-3924
Phone (615) 946-3873

Other practice location 1

333 Murfreesboro Pike
Trevecca Nazarene University PA Program
Nashville, TN 37210
Phone (615) 248-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301000607 TN Practitioner - Physician Assistant 3577936129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Tennessee LLCGroup PAC ID 0547667552, 141 clinicians

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

317 Seven Springs Way
Suite 101
Brentwood, TN 37027-4576
Phone (615) 370-9992

330 Wallace Rd
Suite 1
Nashville, TN 37211-4986
Phone (615) 933-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5228TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Aug 8, 2023 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Aug 8, 2023 Accepting new patients
Hospital Medicine Services of TN, LLC Physician Assistant Past Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2021 Accepting new patients

Locations

5380 Hickory Hollow Pkwy
Ste 201
Antioch, TN 37013
Phone (615) 891-2056

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

1492 Tiny Town Rd
Ste A2
Clarksville, TN 37042

116 Bible Xing
Decherd, TN 37324
Phone (931) 962-2772

1047 Glenbrook Way
Ste 110
Hendersonville, TN 37075
Phone (615) 943-5027

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447

820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027

1214 Gallatin Ave
Ste 105
Nashville, TN 37206
Phone (571) 982-8850

1114 N Main St
Ste B
Shelbyville, TN 37160
Phone (615) 217-9821

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

707 Highway 76
White House, TN 37188
Phone (615) 581-7240

Interoperability endpoints

  • Direct secure messaging: carson.meador.1@25094.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1699345041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CHURCH ST E APT 802",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273924",
            "telephone_number": "615-946-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114851",
            "telephone_number": "615-781-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Murfreesboro Pike",
            "address_2": "Trevecca Nazarene University PA Program",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37210",
            "country_code": "US",
            "telephone_number": "615-248-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "CARSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.